STEPHEN DALE FRAZIER


Address: 1825 Logan Ave, Waterloo, IA 50703-1916
Phone: 3192353716

STEPHEN DALE FRAZIER (NPI# 1386698009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386698009
Entity Type Individual
Full Name STEPHEN DALE FRAZIER
Credential MD
Practice Address 1825 Logan Ave
Waterloo
IA 50703-1916
Mailing Address Po Box 2758
Waterloo
IA 50704-2758
Practice Telephone 3192353716
Practice Fax Number 3192331630
Mailing Telephone 3192353716
Mailing Fax Number 3192331630
Enumeration Date 2006-05-19
Last Update Date 2007-09-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
32977 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA JOHN DEERE HEALTH INS P 421417307D4 01
IA WELLMARK INS PLAN 49304 01
IA 0193102 05

Other Providers STEPHEN FRAZIER

NPI Name Taxonomy Address Enumeration
1902390966 Stephen Joseph Frazier Case Manager/Care Coordinator 184 Unser Blvd Ne, Rio Rancho, NM 87124-4045 2018-06-21
1538476742 Stephen Frazier Social Worker 125 N Ruby Ln, Fairview Heights, IL 62208-1926 2010-09-09

Office Location

Street Address 1825 LOGAN AVE
City WATERLOO
State IA
Zip Code 50703-1916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881680130 Jeffrey David Wilkins Emergency Medicine 1825 Logan Ave, Waterloo, IA 50703-1916 2005-09-22
1922614379 Jade Marie Kalina Nurse Practitioner 1825 Logan Ave, Waterloo, IA 50703-1916 2020-09-21
1942818877 Julia Fifield Pharmacist 1825 Logan Ave, Waterloo, IA 50703-1916 2020-07-16
1154939262 Jacob John Peterson Pharmacist 1825 Logan Ave, Waterloo, IA 50703-1916 2020-07-15
1962025767 Abby Staudt Nurse Practitioner 1825 Logan Ave, Waterloo, IA 50703-1916 2020-05-27
1083237234 Kathryn E Soeder Nurse Anesthetist, Certified Registered 1825 Logan Ave, Waterloo, IA 50703-1916 2020-05-22
1871120147 Carolyn Anna Steenhoek Physician Assistant 1825 Logan Ave, Waterloo, IA 50703-1916 2020-03-25
1497387989 Nupur Chopra Harkness Pharmacist 1825 Logan Ave, Waterloo, IA 50703-1916 2020-02-12
1750912523 Patricia Leininger Dietitian, Registered 1825 Logan Ave, Waterloo, IA 50703-1916 2020-01-30
1932739331 Allison Katherine Bohlman Dietitian, Registered 1825 Logan Ave, Waterloo, IA 50703-1916 2020-01-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306363841 Kristie Wood Counselor 1420 W. Donald St, Waterloo, IA 50703 2017-08-25
1215359054 Chuck Corwin Counselor 607 Sycamore Street, Suite 300, Waterloo, IA 50703 2014-01-14
1679672554 Linda D Bartollas Social Worker 146 West Dale Street, Suite 101, Waterloo, IA 50703 2006-09-21
1558477745 Brent Matthew Hintz Obstetrics & Gynecology 212 West Dale St., Suite 402, Waterloo, IA 50703 2006-08-21
1588629729 Mir Ahmad Waziri Pediatrics 212 W Dale Street, Suite 302, Waterloo, IA 50703 2006-04-19
1568432615 Wei Yang Pathology Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 2006-01-23
1689158040 Megan Elizabeth O'neal Nurse Practitioner 1631 Logan Ave, Waterloo, IA 50703 2018-09-21
1972031359 Stephanie Rose Smith Nurse Practitioner 1631 Logan Ave, Waterloo, IA 50703 2017-05-30
1801263462 Krissy Jean Wieland Nurse Practitioner 220 Franklin St, Waterloo, IA 50703 2015-08-28
1649670852 Sapna Aggarwal Dentist 905 Franklin St, Waterloo, IA 50703 2014-08-26
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285793844 Wayne Leroy Ventling II Radiology 4150 Kimball Avenue, Waterloo, IA 50701 2006-12-08
1407003015 Murali Krishna Surnedi Radiology 1825 Logan Ave, Waterloo, IA 50703-1916 2008-08-26
1528214970 Gopi Kota Radiology 1825 Logan Ave, Waterloo, IA 50703-1916 2008-08-15
1851576946 Rajeev Anugu Radiology 1825 Logan Ave, Waterloo, IA 50703-1916 2008-01-08
1114019312 Southern Illinois Imaging Associates, LLC Radiology 509 Hamacher St, Suite 300, Waterloo, IL 62298-1592 2006-09-28
1083656995 James Vincent Connell Jr. Radiology 1825 Logan Ave, Waterloo, IA 50703-1916 2006-06-12
1407894488 Cheung Por Pun Radiology 1825 Logan Ave, Waterloo, IA 50703-1916 2006-06-03
1225076029 Greg Evan Raecker Radiology 1731 W Ridgeway Ave, Ste 101, Waterloo, IA 50701-4591 2006-06-03
1285680736 Lawrence Arthur Liebscher Radiology 1731 W Ridgeway Ave, Ste 101, Waterloo, IA 50701-4543 2006-05-26
1821044587 John Ireland Halloran Radiology 1825 Logan Ave, Waterloo, IA 50703-1916 2006-05-25
Find all providers in WATERLOO

Competitor

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City WATERLOO
Zip Code 50703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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